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伪装成坏死性小肠结肠炎的新生儿穿孔性阑尾炎

Neonatal Perforated Appendicitis Masquerading as Necrotizing Enterocolitis.

作者信息

Tumen Andrew, Chotai Pranit N, Williams John Matthew, Myers-Webb Adrianne, Zhang Jie, Krishnan Ramesh, Eubanks Iii James W

机构信息

Division of Pediatric Surgery, Le Bonehur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.

Department of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

J Neonatal Surg. 2017 Apr 15;6(2):39. doi: 10.21699/jns.v6i2.482. eCollection 2017 Apr-Jun.

DOI:10.21699/jns.v6i2.482
PMID:28770136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5528099/
Abstract

A preterm neonate underwent emergent laparotomy for presumed necrotizing enterocolitis (NEC). Intra-operatively, neonatal perforated appendicitis (NPA) was encountered. This may represent a form of NEC localized to the appendix. A high index of clinical suspicion and early laparotomy are recommended.

摘要

一名早产儿因疑似坏死性小肠结肠炎（NEC）接受了急诊剖腹手术。术中发现了新生儿穿孔性阑尾炎（NPA）。这可能代表了一种局限于阑尾的NEC形式。建议保持高度的临床怀疑并尽早进行剖腹手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21c/5528099/c640cc90813c/jns-6-39.f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21c/5528099/247f0ad0debb/jns-6-39.f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21c/5528099/c640cc90813c/jns-6-39.f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21c/5528099/247f0ad0debb/jns-6-39.f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a21c/5528099/c640cc90813c/jns-6-39.f2.jpg

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引用本文的文献

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本文引用的文献

1
Etiology and medical management of NEC.坏死性小肠结肠炎的病因及医学处理
Early Hum Dev. 2016 Jun;97:17-23. doi: 10.1016/j.earlhumdev.2016.03.008. Epub 2016 Apr 12.
2
Neonatal Appendicitis (Part 1): A Review of 52 cases with Abdominal Manifestation.新生儿阑尾炎（第一部分）：52例腹部表现病例回顾
J Neonatal Surg. 2015 Jan 10;4(1):4. eCollection 2015 Jan-Mar.
3
Neonatal vermiform appendicopathy.新生儿阑尾疾病
Am J Perinatol. 2015 Jun;32(7):683-8. doi: 10.1055/s-0034-1393934. Epub 2014 Oct 6.
4
Isolated ruptured appendicitis presenting as pneumatosis intestinalis in a premature neonate.一名早产儿出现孤立性破裂性阑尾炎并表现为肠壁积气。
Pediatr Surg Int. 2012 Apr;28(4):439-41. doi: 10.1007/s00383-011-3042-x. Epub 2011 Dec 21.
5
Neonatal appendicitis: a new look at an old zebra.新生儿阑尾炎：对一种罕见病症的新审视
J Pediatr Surg. 2008 Oct;43(10):e1-5. doi: 10.1016/j.jpedsurg.2008.05.014.
6
Seven cases of neonatal appendicitis with a review of the English language literature of the last century.七例新生儿阑尾炎病例并对上世纪英文文献进行综述。
Pediatr Surg Int. 2003 Dec;19(11):707-9. doi: 10.1007/s00383-003-1030-5. Epub 2003 Dec 19.
7
Acute appendicitis in neonates: complication or morbus sui generis?新生儿急性阑尾炎：是并发症还是一种独立疾病？
Pediatr Surg Int. 1998 Nov;14(1-2):122-3. doi: 10.1007/s003830050457.
8
Appendicular perforation in necrotising enterocolitis.坏死性小肠结肠炎中的阑尾穿孔
Indian Pediatr. 1998 Jan;35(1):59-61.
9
Perforation of the appendix in the neonatal period.新生儿期阑尾穿孔
J Pediatr Surg. 1980 Apr;15(2):200-2. doi: 10.1016/s0022-3468(80)80020-0.